无创通气在电子支气管镜介入治疗中的应用

发布时间：2018-01-12 15:10

本文关键词：无创通气在电子支气管镜介入治疗中的应用　出处：《中国老年学杂志》2016年02期 　论文类型：期刊论文

【摘要】：目的探讨应用无创通气配合支气管镜介入诊疗技术的效果稳定性。方法收集行支气管镜介入诊疗患者82例,按随机数字表法随机分为两组,无创通气组42例在经插管式面罩无创机械通气的支持下进行电子支气管镜介入诊疗,鼻导管吸氧组40例在高流量鼻导管吸氧情况下进行电子支气管镜介入诊疗,在支气管镜诊疗结束时、诊疗结束后30 min、1 h,分别测定患者的心率、血压、呼吸次数以及氧合指数。结果所有患者支气管镜介入诊疗均顺利完成,未出现严重的并发症。两组患者的心率、血压、呼吸次数和氧合指数均具有显著差异,无创通气组优于鼻导管吸氧组(均P0.05)。结论对于存在呼吸衰竭的患者,进行支气管镜介入诊疗时,选择无创通气比经鼻导管吸氧更安全有效,患者耐受性更好。
[Abstract]:Objective to investigate the effect stability of noninvasive ventilation combined with bronchoscopic interventional diagnosis and treatment. Methods 82 patients were randomly divided into two groups according to random digital table. 42 cases of non-invasive ventilation group were treated with electronic bronchoscopy under the support of intubated mask non-invasive mechanical ventilation. 40 cases of nasal catheter oxygen inhalation group were treated with electronic bronchoscopy under the condition of high flow nasal catheter oxygen inhalation. At the end of bronchoscope diagnosis and treatment, 30 minutes after the end of the diagnosis and treatment, 1 hour after the end of the diagnosis and treatment. Heart rate, blood pressure, respiratory frequency and oxygenation index were measured. Results all patients were successfully treated by bronchoscopy without serious complications. Heart rate and blood pressure of the two groups were measured. There were significant differences in respiratory frequency and oxygenation index, and the non-invasive ventilation group was better than the nasal catheter oxygen inhalation group (all P 0.05). Conclusion for patients with respiratory failure, bronchoscopic intervention diagnosis and treatment. Non-invasive ventilation is more safe and effective than nasal catheter oxygen inhalation, and the patient has better tolerance.
【作者单位】：河北医科大学第二医院呼吸内科;冀州市医院呼吸内科;
【基金】：河北省卫计委青年科技课题(No.ZL20140206)
【分类号】：R56
【正文快照】： 支气管镜作为一项侵入性的支气管肺部检查、治疗手段,具有高诊断率以及低并发症发生率,研究报道的严重并发症只有0.08%,死亡率只有0.01%〔1〕。由于支气管镜诊疗属于有创操作,患者在诊疗过程中往往伴随剧烈咳嗽、咳痰、窒息感等不适,导致血氧饱和度一过性下降。严重的低氧血症

【相似文献】